PROPERT Y SUMMAR Y Date : 11/20/200 7 Omah aLea dSite Remedia l Actio n Contrac t #EP-R7-07-0 6 Mont hof : Novembe r Propert y Address : 1210N24S t A . EXECUTIV E SUMMAR Y A. I Issue s Encountered : Non e A. 2 Issue s Resolved : Re-See dwil l occu r i n Novembe r o n an y dea dspot s t o encourag e sprin g growth . A. 3 Uniqu e Findings : A. 4 Othe r Relevan t Information : CONFIRMATIO N SAMPLIN GDATA/RESULTS : 

### F l - 24 1 @ 6 " E l - 21 9 @ scrap e ATTACHMENT S 1 ) Propert y sketc hprovide db y EP A pursuan t t o contrac t specification s 2 ) Signe dAcces s Agreemen t includin g acces s agreement s require dfo r crossin g othe r propertie s 3 ) Pre-Excavatio n digita l vide o clip/photograph s 4 ) Post-Excavatio ndigita l vide o clip/photograph s 5 ) Documentatio n - Complete dClose-ou t Checklis t 6 ) As-Buil t sketc h­ i ) Shal l includ e fina l lea dlevel s v ) Legen d ii ) Contaminatio nleft behin darea s vi ) Contracto r identificatio n iii ) Propert y addres s vii ) Dat e iv ) BVI D numbe r 7 ) Othe r item s t o b e include di nth e individua l propert y file , i f available , o r obtaine dinclude : i ) Pre-excavatio n agreemen t detail s (i f an y ar e mad e wit hth e propert y owner ) ii ) Excavatio n digita l vide o i nMPEG , WM V (Window s Medi aVideo ) o r SW F(Flas hPlayer ) forma t and/o r photograph s iii ) Signe dfor mverifyin g satisfactor y restoratio n iv ) Descriptio no f area s no t meetin g Interi mRO D cleanu p criteria .

TECHNOLOGIES , INC . 4028621 8 

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## th e proper o i n orde rt o conduc t environmenta l samplin g an d t o remove lead-contaminate d soi l Prudent Technologies , m e (Prudent ) i s under contrac t wit hm e U . S . Environmenta l Protectio n Agenc y (EPA) to dea n up lead-contaminate dsoil s a t anumbe r o f propertie s locate di n Omaha , Nebraska , indudin g th e properly locate da t \^\ Q V O A . L

### V SaJ h. Th e EPA request s your permission to allo w Prudent to performasoi l deanup a t thi s propert y to remov e lead-contaminate dsoil B y signing mi s farm , me property owner grant s permissio n ( D Pnidentt o performactivitie s relate dto th e deanu p including soi l sampling , remova l o f lead-contaminate dsoil , an drestoratio n o f the reference d property . Afte r obtainin g me owner' s signature o n fin s form , Pmdent Technologies , Inc . will contactme propert y owner (an dresidents ) withi n th e nex t fe w weeks to coordinat e performanc e th e wor k I f

yo u hav e any question s abou t th e soi l deanup planne dfor your property , pleas e contact ftudenf s Administrativ e Cler k

for the Omah aLea dSit e deanup , Ms . Cyndi e Hind s a t (402) 504-1004 . General question s abou t th e Omah aLea dSit e deanup ca n b e directe dto th e EPA Publi c Informatio n Center s a t (402) 731-304 5 (sout hOmah aoffice ) or (402 ) 991-9583 (nor mOmah aoffice) . Grante dB v 

### / Properl y Owne r Signature : 7
PROPERT Y INFORMATIO N (T o b e completedb y readea t and/o r propert y owne r ­ plea s prin ) RESDENTNAME : /" / * l jgjwne rQente r RESDEN T ADDRESS : T ~ F RENTAL.PROPERTYOWNE D BY : OWNER' S MALM G ADDRESS ; OWNER' S TELEPHON E NUMBER-HOME : ir A ) I/° 4 _ ~ T * > ^ ^*\ > & * O / ) 3 ^rt'eJLO'* ' WORK : I I AC E O F HOME? : ////""YEARS . ""YEARS . HOW LON G HAV E YO U LIVE D HERE ? HAS TH E EXTERIO R BEE N PAMTE D O R COV E RE D WimSDMQSMC E 1878? // /

A NUMBE R O F OCCUPANTS UNDE R 7 YEAR S OLD : _NUMBE R O F OCCUPANT S 7 YEAR S OL D AN D OLDE R / C/ ­ NUMBE R O F CHILDRE N UNDE R 7 YEAR S OL D WH O PLA Y H TH E YAR D FO R 5 HOURS O R MOR E PE R WEEK : _A j / A~ ~ C/

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COMMENT S O R SPECIAL MSTRUCTKWS : (l£.OOGS.ENTR Y GATES.ETC ) 

### AUTHORIT Y FO RENVIRONMENTA LRESPONS EACTIONS : The activitie s to b e implemente db y EPA under mi s agreemen t ar e pursuant t

o Section 10 4 of CBRCLA , 4 2 U.S.C . 9604 . EPA' s righ t of acces s t o th e propert y i s provide dfor inSection 104(e ) o f CERCLA , 4 2 U.S . C 9605( e 

### X whichprovide s entr y &r"detemunin g the needfor response , or choosin g or takin g an y respons e action unde r thi s title , or otherwis e enforcin g the provision s o f the title "

# EP A Propert y Clos e Ou t Propert y # : 3S3 . CO , Propert y Address : IZI O H Date/Time : ///a . 1/0 7 Owner' s Name : 8e»nant > /»<>««*« > Quad s Excavated : Contracto r Grou p Pruden t Technologie s Excavatio n Genera l Ye s N o \. I f necessary , wer e th e correc t quadrant(s ) excavate dan drestored ? 

# s 2 .I f necessary , wer e th e correc t area s o f dri p zon e excavate dan drestored ? 

## s Gradin g So dan dVegetatio n Ye s N o 1 . Doe s th e gradin g aroun dth e perimete r o f

th e hous e i nexcavate darea s generall y slop e awa y fro mth e house ? 

### t / 2 . Ha s so dbee n lai di nal l area s tha t wer e excavated ? 

### •^ 3 . Doe s th e so dappear t o b e generall y health y an dgrowing ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) 

### S 4 . Ar e sodde darea s generall y fir man devenl y graded ? 

### S 5 . Ar e th e joint s betwee n th e so dstrip s generall y tight ? (Onl y evaluat e i f inspecte da t a3 0 da y tim e period ) S 6 . Wa s th e propert y grade dsuc htha t wate r wil l no t poo l o nth e property ? 

## s 7 . Wa s damag e t o landscapin g o r plan t material s avoided ? 

## / Gates , Fence s an dRetainin g Wall s Ye s N o 1 .D o gate s ope n an dclos e freely ? (I f applicable ) S 2 .Wer e al l gate s o r fence s take n dow n durin g restoratio n activitie s reinstalled ? (I f applicable ) , / 3 .Wa s damag e t o gate s o r fence s avoided ? (I f applicable ) 

### S 4 .Wa s damag e t o retainin g wall s avoided ? (I f applicable ) 

### S Foundation , Sidin g an dGutter s Ye s N o 1 .Wa s damag e t o th e sidin g o r tri mavoided ? 

### S 2 .Wa s damag e t o th e foundatio navoided ? 

### S 3 .Wa s damag e t o window s avoided ? 

### / 4 .Wa s damag e t o window s o r doo r screen s avoided ? 

### * / 5 .Wa s damag e t o downspout s o r downspou t extension s avoided ? 

### ^ Sidewalk s an dDriveway s (Concrete ) Ye s N o 1 .Wa s damag e t o drivewa y surface s avoided ? 

### / 2 .Wa s damag e t o walkwa y surface s avoided ? 

### S

### Owner s comments :

Inspectio nnotes :

Remova l an drestoratio nactivate s complet e includin g th e 30-da y so dwarranty : EP A Representativ e ^L . jft . Date :

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n 19.110 7 Acknowledgemen t Signatur e Dat e EP A

808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 30 8 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , M O 6411 4 Omaha , Nebrask a Sa n Antonio , T X 7821 7 Phone : (816 ) 363-370 3 Fax:(816)363-370 7 Phone : (402)504-100 4 Fax:(402)504-100 5 (210)822-958 8 Fax : (210)579-657 7

## PropertyCompletio n Agreemen t Thi s agreemen t document s th e completio no f remova l activitie s performe do nth e belo w liste dproperty . Th e propert y owner' s signatur e indicate s tha t th e propert y owne r i s satisfie dwit hth e restoratio no f th e subjec t property , an dtha t n o item s ar e i nquestion , now , o r a t an y tim e i nth e future , excludin g an y remainin g warrant y (3 0 day s total ) excep t thos e item s liste dbelow , i f any . Propert y ID : ^SZeS . Propert y Address : iZi o A / 3V M .Jf«-««^ ~ 

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Item : Item : Item : Item : Item : Item : Require d correction s t o complet e th e property :



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## Dougla s County-Omaha , N E

Parce l I D Owne r Nam e Propert y Addres s Cit y Zi p Owne r Addres s Owne r Addres s 2 Owne rCit y Owne r Stat e Owne rZi p 221047000 0 MOBEC O INDUSTRIE S 1210N24S T OMAH A 6810 2
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SHINNSAD D 1 3 1 N 4 2 E 8 5 F T

http://douglasne . mapping online . com/DouglasCoNe/static/accountinfo.jsp ? accountno=R22 1 047000 0 Disclaimer : Ma p an d parce l dat a ar e believe d t o b e accurate , bu t accurac yi s no t Ma p Scal e guaranteed . Thi s i s no t a lega l documen t an d shoul d no t b e substitute d fo ra titl e search , 1 inc h = 1 7 fee t appraisal , survey , o rfo rzonin g verification . 

### http://www.dogis.org/dogis_alias/dogis/printPreview.aspx?PrintOptData=Dougla s County-.. . 8/1/200 7

### Pag e 1 o f 2

Creat e Anothe rTicke t Bac k t o Irt h Interne t Sen d Emai l 

### YOU RTICKE T NUMBE RI S 1880372 . Origina l Cal l Date : 9/04/0 7 Time : 1:2 9 pmOp : CYNDIE1896 7 Wor k t o Begi n Date : 9/06/0 7 Time : 2:0 0 pm State : N E County : DOUGLAS Place : OMAH A Address : 121 0 Street : N24TH S T Twp : 15 NRng : 13 E Sect-Qtr : 15-NW-SW,16-NE-S E Twp : Rng : Sect-Qtr : Lega l Given : C Typ e o f Work : soi l excavatio n fo r lead remediatio n Locatio n o f Work : LOCAT E ENTIR E PROPERT Y Remarks : FA X AL L CLEAR S TO : (402)504-100 5 Compan y: PRUDEN T TECHNOLOGIE S Contac t Name : CYNDI E Phone : (402)504-100 4 Wor k Bein g Don e For : ep a Dept h o f Excavation : 14 " Corne r Lot : N Front : NRear : N Involve s Tunneling o r Horizonta l Boring : N Explosives : N CXCAT V

LEVEL 3 MAGELLA NMC I MCLEODN E MUD0 1 OMAHACO F OPPDGPR 5 OWW C QLNNE1 C

Servic e Are aContac t Phon e Numbe r Utilit y Typ e CXCAT V CO X COMMUNICATIONS , [N C HEID I 

### Day : 402934046 9 Alt : 402934046 9 Emerg : 402932975 7 LEVEL S LEVEL S COMMUNICATIONS , LL C N A 

### Day : 877366834 4 

### Alt : Emerg : 877366834 4 MAGELLA N MAGELLA NMIDSTREA M PARTNER S L P TONY A 

### Day : 918574709 8 

### Alt : Emerg : 918574709 8 MC I MC I N O CAL LPE R MEM O 

### Day : 800289342 7 

### Alt : Emerg : 800289342 7 http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret-<RESULTS .. . 9/4/200 7

### Pag e 2 o f 2

MCLEODN EMCLEODUS A N A

MUD0 1 METROPOLITA NUTILITIE S DISTRIC T EDWFN A

OMAHACO FCIT Y O FOMAHA-TRAFFIC,SEWE RRO N

OPPDGPR 5 OMAH A PUBLI C POWE RDISTRIC T N A

OWW C OMAH A WORL D HERAL D COMPAN Y N A
QLNNE1 C QWES T LOCA LNETWOR K N A 

### Day : Alt : Emerg : 

### Day : Alt : Emerg : 

### Day : Alt : Emerg : 

### Day : Alt : Emerg : 

### Day : Alt : Emerg : 

### Day : Alt : Emerg : 

### 800289190 1 800289190 1 402504782 3 402504794 6 402444719 7 402444516 1 402444516 0 406728934 3 888728934 3 402444119 8 402444316 9 402444119 8 406728934 3 888728934 3

http://www.dhon.org/irthinternet/DHONNoticeCreation/MessageText.asp?ret=<RESULTS .. . 9/4/200 7Fin d Recor d dea n U p Quer y Lea d Remainin g Quer y| Propert yDamag e Quer y Close

D Owne rOccupied Owne rName : 

## IMOBECO INDUSTRIE S Owne rAddressl : Owne rAddress2 : 11141 3 HICKOR Y RD " Zi p Cod e JOMAH A 6814 4 Owne rPhone : Alternat e Phone : 

### | (402 ) 342-282 0 Residen t Name : JVACAN TLOT JPRUDENT200 7 Propert yAddres s Group : 

### (1210N24S T Zi p Code : [68102 Residen t Phon e Qualifyin g Grou p (80 0 Assessmen t XR F Date : Assessmen t MaxXR F Valu eENVIRONMENTA L& CONSTRUCTIO N TECHNOLOGIES , INC . SOLUTION S 

### Augus t 8 , 200 7 Mobec o Industrie s 1141 3 Hickor y S t Omah aN E6811 4 RE : 121 0 N 2 4 St , 241 9 Decatu r St , 261 2 Burdett e St , 372 0 N 3 0 S t BVID #25262,26621,27873,3246 6 Dear Sir : Than k yo u fo r participatin g i nth e soi l clea n u p projec t bein g implemente db y th e U.S . Environmenta l Protectio n Agenc y (EPA ) fo r th e Omah aLea dSite . Thi s clean-u p projec t i s bein g complete da t n o cos t t o th e homeowners . I nallowin g th e remediatio n o f you r propertiespo[- 0 at 372 0 N3 9 St , 261 2 Burdette St , 121 0 N 2 4 St , 241 9 Decatu r S t yo u wil l hav e achieve dalea dsaf e environmen t fro mth e exposur e o f lea di nth e soi l fo r you r famil y o r th e familie s o f you r tenant , i f th e propert y liste dabov e i s a renta l property . W e ar e askin g yo u t o sig n th e enclose ddocumen t statin g that : b y m y signatur e o n th e enclose d agreemen t form . 1 hereb y giv e permissio n t o employee s and/o r authorize drepresentative s o f Pruden t Technologies , Inc . (Prudent) , contracte db y th e Unite dState s Environmenta l Protectio n Agenc y (EPA ) unde r Contrac t EP-R7-07-06 , t o ente r an dhav e acces s t o m y propert y fo r th e purpos e o f samplin g an dtakin g appropriat e respons e action s whic har e necessar y t o implemen t th e clea n u p o f lea dcontaminatio n i nth e soil . Suc haction s wil l include : (1 ) Preparatio n fo r an d th e excavatio no f contaminate dsoi l fro mm y property ; (2 ) Backfil l excavate darea s wit h approve dclea n soil ; (3 ) Restor e gras s an dothe r vegetatio n o r structure s a s clos e a s possibl e t o thei r pre-excavatio n state . Pleas e sig n th e for mwher e indicate dan dretur n i n th e pre-addresse dstampe denvelope , keepin g th e pin k cop y fo r you r record s o r pleas e contac t m e a t th e phon e numbe r liste dbelow , an dI wil l b e happ y t o mee t wit hyo u a t you r convenienc e t o discus s an y propert y issues . Also , pleas e remembe r tha t th e abov e propert y wil l b e liste di n th e EPA' s databas e a s wel l a s you r count y assessor' s offic e o f clea n propertie s upo n completion . Shoul dyo u hav e an y questions , pleas e d o no t hesitat e t o contac t ou r offic e a t 250 5 N 24 thSt , Suit e 308 , Omaha , N E6811 0 o r 402-504-1004 . Than k yo u agai n fo r you r promp t attentio n i nthi s matter . Sincerely , Cyndi e Hind s Pruden t Technologies , Inc . Omah aLea dSit e Administrativ e Cler k Tea mMembe r Enclosure s 808 0 War d Parkway , Suit e 40 5 250 5 N . 24 TM Street , Suit e 21 9 891 8 Tesor o Drive , Suit e 10 9 Kansa s City , M O 6411 4 Omaha , Nebrask a Sa n Antonio , T X 7821 7 Phone:(816)363-370 3 Phone : (402)504-100 4 (210 ) 822-958 8 Fax : (816 ) 363-370 7 Fax : (402 ) 504-100 5 Fax:(210)579-657 7